Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.41 / $40.43 / $192.74	Facility		$13.41	$40.43	$192.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $48.64 / $57.76	Professional		$25.79	$48.64	$57.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $66.03 / $210.37	Facility		$18.92	$66.03	$210.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $24.32 / $54.72	Professional		$15.32	$24.32	$54.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.24 / $60.80 / $97.28	Facility		$36.24	$60.80	$97.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $95.64 / $133.76	Facility		$15.11	$95.64	$133.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $73.93 / $92.41	Professional		$8.41	$73.93	$92.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $69.92 / $91.60	Professional		$43.10	$69.92	$91.60
United Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $16.76 / $60.80	Professional		$8.50	$16.76	$60.80